Indiana
Professional Licensing Agency
Jessica M. Mattox
Radiology Provisional Permit
License number
XP504230
Date granted
09/05/2012
Date expires
03/05/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Westfield IN 46074
indianalicensing.org
ID 8496020
LAST UPDATED 2024-03-31 18:30:03 UTC
LAST UPDATED 2024-03-31 18:30:03 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.